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Apologies if in wrong tribe.
We recently had a fraudulent injury claim made against us on one property.
It's being alleged that an injury is due to disrepair - On inspection of the property - loss adjuster noted that he was unable to see how the claim's were true.
The claim is still ongoing - do we now have to notify insurers on all other properties of the claim even though no evidence/not proven etc? - I notified one recently when making amendments to a policy - was then informed they'd no longer continue our cover due to the claim which seems rather unfair - we must now pay vastly higher insurance.
I'd be grateful for any advice - Can insurers refuse cover and charge higher on this basis?
My thoughts are that it is not a claim unless it is all fully agreed and your insurers are required to pay out. It could be fraudulent for all anyone knows. Ie. There might not be a claim yet. I don't see how you can tell anyone anything until the investigation is complete and the claim is proven.This is only my opinion.You could ask the insurers of the property being investigated for advice.Or do you have a legal helpline attached to your bank account or insurance policy or other financial product that you could call and ask.
I expect you will need to advise your insurers on renewal but would depend on exact wording of proposal or renewal notice. There is a central register of claims so you risk policy being made void if not declared. I would submit details together with what the loss adjuster had said.
I had a buildings insurance claim on a let property and my insurer wanted to load my own home buildings insurance even though about eight miles from let property - I changed insurer and new insurer agreed there was no link between the two properties and one should not impact on the other.
I thought there was some kind of central data base and was going to mention it wasn't entirely sure but it would be futile not to mention it at renewal as that is fraud. However it could turn out that this claim is being made fraudulently so there would be no claim and the insured would be the victim of crime so I would hang fire like you say until renewal when hopefully the claim will be resolved (or gone away). The loss adjustor''s comments are a red flag for me. I used to work in public transport which was a magnet for criminal groups creating 'accidents' with buses which our insurance team uncovered. Some people will do anything for a bit of money.
It depends on the terms of the policy if the insurer needs to be advised, for example with an annual travel policy you are still obliged to adviser the insurer of any changes in health mid term or the policy isn't valid.
Yes insurance is an absolute minefield. The OP might have to go through the t&cs of each one individually
I used to be a loss adjuster but that was a long time ago. I think I would argue that it is not a claim...you are merely notifying insurers of a potential claim as you are duty bound to do. however, you need to consider the renewal proposal questions very carefully and answer them honestly as they prob ask about incidents as well as claims!
Out of interest, What, Exactly was the Disrepair claim and How was the injury alledged to have occurred as a result of that, witnesses - evidence from tenant ?
Hi there Shicomi,
You should always read the insurance proposal form carefully. A typical wording could read: “Have you ever sustained any loss or had any claim made against you whether insured or otherwise in respect of any insurances required at the above or any previously occupied premises during the last 5 years.”
As such, you should disclose all claims and not just those where liability has been accepted by insurers - including those that are pending.
If you have other questions, please don't hesitate to call us on 01603 649736 - we'd be happy to help.